inforMED
MalfunctionJOS

NEEDLE ELECTRODE

Received May 5, 2014 · Event occurred Mar 18, 2014

Report 1717344-2014-00394 · MDR key 3945244

Device

Generic name

Es Accessory

Manufacturer

Covidien Lp

Catalog number

E1552

Lot number

33100155X

Product problems

  • Fire

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT WHILE COAGULATING, A FLAME WAS NOTICED. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO INJURIES TO THE PT. THE SITE REPORTED THAT BETADINE ALCOHOL HAD BEEN USED.

Additional Manufacturer Narrative

(B)(4). THE RETURN OF THE INCIDENT SAMPLE HAS BEEN REQUESTED. TO DATE, IT HAS NOT BEEN RECEIVED FOR EVALUATION. ADDITIONAL QUESTIONS IN REGARD TO THE INCIDENT HAVE BEEN ASKED. IF THE SAMPLE IS RECEIVED, OR IF ADDITIONAL INFO PERTINENT TO THE INCIDENT IS OBTAINED, A FOLLOW-UP REPORT WILL BE SUBMITTED.